Organization Active NPI

Ruston Wellness & Compounding Pharmacy

  • Community/Retail Pharmacy
  • Ruston, LA
National Provider Identifier
1295166254
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RUSTON WELLNESS & COMPOUNDING PHARMACY
Practice address
109 N Trenton St # 2
Ruston, LA 71270-4321
Phone
(318) 255-8106
Fax
(318) 254-0461
NPI assigned
Dec 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lauren Good, PHARM DNPI 1093097982
Title
Owner
Phone
(318) 255-8106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

109 N Trenton St # 2
Ruston, LA 71270-4321

Mailing address

109 N Trenton St Ste 2
Ruston, LA 71270-4373
Phone (318) 255-8106

National Provider Directory

National Provider Directory

Locations

109 N Trenton St
Ste 2
Ruston, LA 71270
Phone (318) 255-8106

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1295166254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N TRENTON ST STE 2",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712704373",
            "telephone_number": "318-255-8106",
            "fax_number": "318-254-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N TRENTON ST # 2",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712704321",
            "telephone_number": "318-255-8106",
            "fax_number": "318-254-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSTON WELLNESS & COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-255-8106",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.